Информационно-диагностическая система по дерматовенерологии
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[~SORT] => 505
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[~DEPTH_LEVEL] => 1
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[~#LESSON_PATH] => 805.836
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[SELECTED] =>
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[25] => Array
(
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[~LESSON_ID] => 837
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[~NAME] => Комедоно-подобные отверстия
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[~EDGE_SORT] => 500
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[~IS_CHILDS] => 0
[SORT] => 500
[~SORT] => 500
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[~ID] => 837
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[~DEPTH_LEVEL] => 2
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[~#LESSON_PATH] => 805.836.837
[DELAYED] =>
[SELECTED] =>
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[UF_COMBINED_CH] => 0
)
[26] => Array
(
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[~LESSON_ID] => 838
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[~NAME] => Милиум-подобные структуры (кисты, milia-like cysts)
[EDGE_SORT] => 500
[~EDGE_SORT] => 500
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[~IS_CHILDS] => 0
[SORT] => 500
[~SORT] => 500
[ID] => 838
[~ID] => 838
[CHAPTER_ID] => 836
[~CHAPTER_ID] => 836
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[~TYPE] => LE
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[~DEPTH_LEVEL] => 2
[#LESSON_PATH] => 805.836.838
[~#LESSON_PATH] => 805.836.838
[DELAYED] =>
[SELECTED] =>
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[UF_COMBINED_CH] => 0
)
[27] => Array
(
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[~LESSON_ID] => 839
[NAME] => Мозговидные структуры (brain-like structures)
[~NAME] => Мозговидные структуры (brain-like structures)
[EDGE_SORT] => 500
[~EDGE_SORT] => 500
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[~IS_CHILDS] => 0
[SORT] => 500
[~SORT] => 500
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[~ID] => 839
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[~CHAPTER_ID] => 836
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[~TYPE] => LE
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[~DEPTH_LEVEL] => 2
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[~#LESSON_PATH] => 805.836.839
[DELAYED] =>
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[UF_COMBINED_CH] => 0
)
[28] => Array
(
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[~LESSON_ID] => 840
[NAME] => Отпечатки пальцев (fingerprints)
[~NAME] => Отпечатки пальцев (fingerprints)
[EDGE_SORT] => 500
[~EDGE_SORT] => 500
[IS_CHILDS] => 0
[~IS_CHILDS] => 0
[SORT] => 500
[~SORT] => 500
[ID] => 840
[~ID] => 840
[CHAPTER_ID] => 836
[~CHAPTER_ID] => 836
[TYPE] => LE
[~TYPE] => LE
[DEPTH_LEVEL] => 2
[~DEPTH_LEVEL] => 2
[#LESSON_PATH] => 805.836.840
[~#LESSON_PATH] => 805.836.840
[DELAYED] =>
[SELECTED] =>
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[UF_SELFTEST_ID] => -1
[UF_COMBINED_CH] => 0
)
[29] => Array
(
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[~LESSON_ID] => 841
[NAME] => Остро отграниченный край (sharp demarkated border)
[~NAME] => Остро отграниченный край (sharp demarkated border)
[EDGE_SORT] => 500
[~EDGE_SORT] => 500
[IS_CHILDS] => 0
[~IS_CHILDS] => 0
[SORT] => 500
[~SORT] => 500
[ID] => 841
[~ID] => 841
[CHAPTER_ID] => 836
[~CHAPTER_ID] => 836
[TYPE] => LE
[~TYPE] => LE
[DEPTH_LEVEL] => 2
[~DEPTH_LEVEL] => 2
[#LESSON_PATH] => 805.836.841
[~#LESSON_PATH] => 805.836.841
[DELAYED] =>
[SELECTED] =>
[URL] => /docschool/level6/lesson841/?LESSON_PATH=805.836.841
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[UF_COMBINED_CH] => 0
)
[30] => Array
(
[LESSON_ID] => 1042
[~LESSON_ID] => 1042
[NAME] => Край, изъеденный молью (moth-eaten border)
[~NAME] => Край, изъеденный молью (moth-eaten border)
[EDGE_SORT] => 500
[~EDGE_SORT] => 500
[IS_CHILDS] => 0
[~IS_CHILDS] => 0
[SORT] => 500
[~SORT] => 500
[ID] => 1042
[~ID] => 1042
[CHAPTER_ID] => 836
[~CHAPTER_ID] => 836
[TYPE] => LE
[~TYPE] => LE
[DEPTH_LEVEL] => 2
[~DEPTH_LEVEL] => 2
[#LESSON_PATH] => 805.836.1042
[~#LESSON_PATH] => 805.836.1042
[DELAYED] =>
[SELECTED] =>
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[UF_COMBINED_CH] => 0
)
[31] => Array
(
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[~LESSON_ID] => 842
[NAME] => Структуры, преимущественно встречаемые при базально-клеточном раке коже
[~NAME] => Структуры, преимущественно встречаемые при базально-клеточном раке коже
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[~EDGE_SORT] => 506
[IS_CHILDS] => 1
[~IS_CHILDS] => 1
[SORT] => 506
[~SORT] => 506
[ID] => 842
[~ID] => 842
[CHAPTER_ID] =>
[~CHAPTER_ID] =>
[TYPE] => CH
[~TYPE] => CH
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[~DEPTH_LEVEL] => 1
[#LESSON_PATH] => 805.842
[~#LESSON_PATH] => 805.842
[DELAYED] =>
[SELECTED] =>
[CHAPTER_OPEN] =>
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[UF_SELFTEST_ID] => 177
[UF_COMBINED_CH] => 1
)
[32] => Array
(
[LESSON_ID] => 843
[~LESSON_ID] => 843
[NAME] => Яйцевидные сине-серые структуры (овальные, яйцевидные гнезда, blue-gray ovoid nests)
[~NAME] => Яйцевидные сине-серые структуры (овальные, яйцевидные гнезда, blue-gray ovoid nests)
[EDGE_SORT] => 500
[~EDGE_SORT] => 500
[IS_CHILDS] => 0
[~IS_CHILDS] => 0
[SORT] => 500
[~SORT] => 500
[ID] => 843
[~ID] => 843
[CHAPTER_ID] => 842
[~CHAPTER_ID] => 842
[TYPE] => LE
[~TYPE] => LE
[DEPTH_LEVEL] => 2
[~DEPTH_LEVEL] => 2
[#LESSON_PATH] => 805.842.843
[~#LESSON_PATH] => 805.842.843
[DELAYED] =>
[SELECTED] =>
[URL] => /docschool/level6/lesson843/?LESSON_PATH=805.842.843
[UF_SELFTEST_ID] => -1
[UF_COMBINED_CH] => 0
)
[33] => Array
(
[LESSON_ID] => 869
[~LESSON_ID] => 869
[NAME] => Сине-серые точки и глобулы (blue-gray dots and globules)
[~NAME] => Сине-серые точки и глобулы (blue-gray dots and globules)
[EDGE_SORT] => 501
[~EDGE_SORT] => 501
[IS_CHILDS] => 0
[~IS_CHILDS] => 0
[SORT] => 501
[~SORT] => 501
[ID] => 869
[~ID] => 869
[CHAPTER_ID] => 842
[~CHAPTER_ID] => 842
[TYPE] => LE
[~TYPE] => LE
[DEPTH_LEVEL] => 2
[~DEPTH_LEVEL] => 2
[#LESSON_PATH] => 805.842.869
[~#LESSON_PATH] => 805.842.869
[DELAYED] =>
[SELECTED] =>
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[UF_SELFTEST_ID] => -1
[UF_COMBINED_CH] => 0
)
[34] => Array
(
[LESSON_ID] => 844
[~LESSON_ID] => 844
[NAME] => Листовидные структуры (leaf-like areas)
[~NAME] => Листовидные структуры (leaf-like areas)
[EDGE_SORT] => 502
[~EDGE_SORT] => 502
[IS_CHILDS] => 0
[~IS_CHILDS] => 0
[SORT] => 502
[~SORT] => 502
[ID] => 844
[~ID] => 844
[CHAPTER_ID] => 842
[~CHAPTER_ID] => 842
[TYPE] => LE
[~TYPE] => LE
[DEPTH_LEVEL] => 2
[~DEPTH_LEVEL] => 2
[#LESSON_PATH] => 805.842.844
[~#LESSON_PATH] => 805.842.844
[DELAYED] =>
[SELECTED] =>
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[UF_COMBINED_CH] => 0
)
[35] => Array
(
[LESSON_ID] => 845
[~LESSON_ID] => 845
[NAME] => Структуры спицевого колеса (колесницы, spoke-wheel areas)
[~NAME] => Структуры спицевого колеса (колесницы, spoke-wheel areas)
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[~EDGE_SORT] => 503
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[~IS_CHILDS] => 0
[SORT] => 503
[~SORT] => 503
[ID] => 845
[~ID] => 845
[CHAPTER_ID] => 842
[~CHAPTER_ID] => 842
[TYPE] => LE
[~TYPE] => LE
[DEPTH_LEVEL] => 2
[~DEPTH_LEVEL] => 2
[#LESSON_PATH] => 805.842.845
[~#LESSON_PATH] => 805.842.845
[DELAYED] =>
[SELECTED] =>
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[UF_SELFTEST_ID] => -1
[UF_COMBINED_CH] => 0
)
[36] => Array
(
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[~LESSON_ID] => 846
[NAME] => Очаги изъязвления
[~NAME] => Очаги изъязвления
[EDGE_SORT] => 504
[~EDGE_SORT] => 504
[IS_CHILDS] => 0
[~IS_CHILDS] => 0
[SORT] => 504
[~SORT] => 504
[ID] => 846
[~ID] => 846
[CHAPTER_ID] => 842
[~CHAPTER_ID] => 842
[TYPE] => LE
[~TYPE] => LE
[DEPTH_LEVEL] => 2
[~DEPTH_LEVEL] => 2
[#LESSON_PATH] => 805.842.846
[~#LESSON_PATH] => 805.842.846
[DELAYED] =>
[SELECTED] =>
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[UF_COMBINED_CH] => 0
)
[37] => Array
(
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[~LESSON_ID] => 847
[NAME] => Структуры, преимущественно встречаемые при плоскоклеточном раке кожи, кератоакантоме и актиническом кератозе
[~NAME] => Структуры, преимущественно встречаемые при плоскоклеточном раке кожи, кератоакантоме и актиническом кератозе
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[~EDGE_SORT] => 507
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[~IS_CHILDS] => 1
[SORT] => 507
[~SORT] => 507
[ID] => 847
[~ID] => 847
[CHAPTER_ID] =>
[~CHAPTER_ID] =>
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[~TYPE] => CH
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[~DEPTH_LEVEL] => 1
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[~#LESSON_PATH] => 805.847
[DELAYED] =>
[SELECTED] =>
[CHAPTER_OPEN] =>
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)
[38] => Array
(
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[~LESSON_ID] => 848
[NAME] => Чешуйки (Scales)
[~NAME] => Чешуйки (Scales)
[EDGE_SORT] => 500
[~EDGE_SORT] => 500
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[~IS_CHILDS] => 0
[SORT] => 500
[~SORT] => 500
[ID] => 848
[~ID] => 848
[CHAPTER_ID] => 847
[~CHAPTER_ID] => 847
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[~TYPE] => LE
[DEPTH_LEVEL] => 2
[~DEPTH_LEVEL] => 2
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[~#LESSON_PATH] => 805.847.848
[DELAYED] =>
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[UF_COMBINED_CH] => 0
)
[39] => Array
(
[LESSON_ID] => 849
[~LESSON_ID] => 849
[NAME] => Белые круги (white circles)
[~NAME] => Белые круги (white circles)
[EDGE_SORT] => 500
[~EDGE_SORT] => 500
[IS_CHILDS] => 0
[~IS_CHILDS] => 0
[SORT] => 500
[~SORT] => 500
[ID] => 849
[~ID] => 849
[CHAPTER_ID] => 847
[~CHAPTER_ID] => 847
[TYPE] => LE
[~TYPE] => LE
[DEPTH_LEVEL] => 2
[~DEPTH_LEVEL] => 2
[#LESSON_PATH] => 805.847.849
[~#LESSON_PATH] => 805.847.849
[DELAYED] =>
[SELECTED] =>
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[UF_COMBINED_CH] => 0
)
[40] => Array
(
[LESSON_ID] => 850
[~LESSON_ID] => 850
[NAME] => Скопление кератина (Mass of keratin)
[~NAME] => Скопление кератина (Mass of keratin)
[EDGE_SORT] => 500
[~EDGE_SORT] => 500
[IS_CHILDS] => 0
[~IS_CHILDS] => 0
[SORT] => 500
[~SORT] => 500
[ID] => 850
[~ID] => 850
[CHAPTER_ID] => 847
[~CHAPTER_ID] => 847
[TYPE] => LE
[~TYPE] => LE
[DEPTH_LEVEL] => 2
[~DEPTH_LEVEL] => 2
[#LESSON_PATH] => 805.847.850
[~#LESSON_PATH] => 805.847.850
[DELAYED] =>
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[UF_COMBINED_CH] => 0
)
[41] => Array
(
[LESSON_ID] => 851
[~LESSON_ID] => 851
[NAME] => Узор в виде клубники (strawberry pattern)
[~NAME] => Узор в виде клубники (strawberry pattern)
[EDGE_SORT] => 500
[~EDGE_SORT] => 500
[IS_CHILDS] => 0
[~IS_CHILDS] => 0
[SORT] => 500
[~SORT] => 500
[ID] => 851
[~ID] => 851
[CHAPTER_ID] => 847
[~CHAPTER_ID] => 847
[TYPE] => LE
[~TYPE] => LE
[DEPTH_LEVEL] => 2
[~DEPTH_LEVEL] => 2
[#LESSON_PATH] => 805.847.851
[~#LESSON_PATH] => 805.847.851
[DELAYED] =>
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)
[42] => Array
(
[LESSON_ID] => 852
[~LESSON_ID] => 852
[NAME] => Розовая бесструктурная область (молочно-красные области, milky-red areas)
[~NAME] => Розовая бесструктурная область (молочно-красные области, milky-red areas)
[EDGE_SORT] => 500
[~EDGE_SORT] => 500
[IS_CHILDS] => 0
[~IS_CHILDS] => 0
[SORT] => 500
[~SORT] => 500
[ID] => 852
[~ID] => 852
[CHAPTER_ID] => 847
[~CHAPTER_ID] => 847
[TYPE] => LE
[~TYPE] => LE
[DEPTH_LEVEL] => 2
[~DEPTH_LEVEL] => 2
[#LESSON_PATH] => 805.847.852
[~#LESSON_PATH] => 805.847.852
[DELAYED] =>
[SELECTED] =>
[URL] => /docschool/level6/lesson852/?LESSON_PATH=805.847.852
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[UF_COMBINED_CH] => 0
)
[43] => Array
(
[LESSON_ID] => 832
[~LESSON_ID] => 832
[NAME] => Структуры, преимущественно встречаемые в злокачественном лентиго
[~NAME] => Структуры, преимущественно встречаемые в злокачественном лентиго
[EDGE_SORT] => 508
[~EDGE_SORT] => 508
[IS_CHILDS] => 1
[~IS_CHILDS] => 1
[SORT] => 508
[~SORT] => 508
[ID] => 832
[~ID] => 832
[CHAPTER_ID] =>
[~CHAPTER_ID] =>
[TYPE] => CH
[~TYPE] => CH
[DEPTH_LEVEL] => 1
[~DEPTH_LEVEL] => 1
[#LESSON_PATH] => 805.832
[~#LESSON_PATH] => 805.832
[DELAYED] =>
[SELECTED] =>
[CHAPTER_OPEN] =>
[URL] => /docschool/level6/chapter0832/?LESSON_PATH=805.832
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[UF_COMBINED_CH] => 1
)
[44] => Array
(
[LESSON_ID] => 833
[~LESSON_ID] => 833
[NAME] => Кольцевидно-зернистые структуры (annular-granular pattern)
[~NAME] => Кольцевидно-зернистые структуры (annular-granular pattern)
[EDGE_SORT] => 500
[~EDGE_SORT] => 500
[IS_CHILDS] => 0
[~IS_CHILDS] => 0
[SORT] => 500
[~SORT] => 500
[ID] => 833
[~ID] => 833
[CHAPTER_ID] => 832
[~CHAPTER_ID] => 832
[TYPE] => LE
[~TYPE] => LE
[DEPTH_LEVEL] => 2
[~DEPTH_LEVEL] => 2
[#LESSON_PATH] => 805.832.833
[~#LESSON_PATH] => 805.832.833
[DELAYED] =>
[SELECTED] =>
[URL] => /docschool/level6/lesson833/?LESSON_PATH=805.832.833
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)
[45] => Array
(
[LESSON_ID] => 834
[~LESSON_ID] => 834
[NAME] => Ромбовидные структуры (rhomboidal structures)
[~NAME] => Ромбовидные структуры (rhomboidal structures)
[EDGE_SORT] => 500
[~EDGE_SORT] => 500
[IS_CHILDS] => 0
[~IS_CHILDS] => 0
[SORT] => 500
[~SORT] => 500
[ID] => 834
[~ID] => 834
[CHAPTER_ID] => 832
[~CHAPTER_ID] => 832
[TYPE] => LE
[~TYPE] => LE
[DEPTH_LEVEL] => 2
[~DEPTH_LEVEL] => 2
[#LESSON_PATH] => 805.832.834
[~#LESSON_PATH] => 805.832.834
[DELAYED] =>
[SELECTED] =>
[URL] => /docschool/level6/lesson834/?LESSON_PATH=805.832.834
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[UF_COMBINED_CH] => 0
)
[46] => Array
(
[LESSON_ID] => 835
[~LESSON_ID] => 835
[NAME] => Круги в кругах (Isobar structures, targetoid hair follicles, circles within circles)
[~NAME] => Круги в кругах (Isobar structures, targetoid hair follicles, circles within circles)
[EDGE_SORT] => 500
[~EDGE_SORT] => 500
[IS_CHILDS] => 0
[~IS_CHILDS] => 0
[SORT] => 500
[~SORT] => 500
[ID] => 835
[~ID] => 835
[CHAPTER_ID] => 832
[~CHAPTER_ID] => 832
[TYPE] => LE
[~TYPE] => LE
[DEPTH_LEVEL] => 2
[~DEPTH_LEVEL] => 2
[#LESSON_PATH] => 805.832.835
[~#LESSON_PATH] => 805.832.835
[DELAYED] =>
[SELECTED] =>
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[UF_COMBINED_CH] => 0
)
[47] => Array
(
[LESSON_ID] => 1014
[~LESSON_ID] => 1014
[NAME] => Облитерированные волосяные фолликулы
[~NAME] => Облитерированные волосяные фолликулы
[EDGE_SORT] => 500
[~EDGE_SORT] => 500
[IS_CHILDS] => 0
[~IS_CHILDS] => 0
[SORT] => 500
[~SORT] => 500
[ID] => 1014
[~ID] => 1014
[CHAPTER_ID] => 832
[~CHAPTER_ID] => 832
[TYPE] => LE
[~TYPE] => LE
[DEPTH_LEVEL] => 2
[~DEPTH_LEVEL] => 2
[#LESSON_PATH] => 805.832.1014
[~#LESSON_PATH] => 805.832.1014
[DELAYED] =>
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[48] => Array
(
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[~LESSON_ID] => 853
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[SELECTED] =>
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)
[50] => Array
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[SORT] => 500
[~SORT] => 500
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[~DEPTH_LEVEL] => 2
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[~SORT] => 510
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[SELECTED] =>
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[52] => Array
(
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[~LESSON_ID] => 857
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[~NAME] => Лакуны
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[~EDGE_SORT] => 500
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[~IS_CHILDS] => 0
[SORT] => 500
[~SORT] => 500
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[~DEPTH_LEVEL] => 2
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[SELECTED] =>
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)
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(
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[~LESSON_ID] => 858
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[~EDGE_SORT] => 501
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[~IS_CHILDS] => 0
[SORT] => 501
[~SORT] => 501
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[~DEPTH_LEVEL] => 2
[#LESSON_PATH] => 805.856.858
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[SELECTED] =>
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[54] => Array
(
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[~LESSON_ID] => 859
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[~NAME] => Точечные сосуды (dotted)
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[~EDGE_SORT] => 502
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[~IS_CHILDS] => 0
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[~DEPTH_LEVEL] => 2
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)
[55] => Array
(
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[~LESSON_ID] => 860
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[~NAME] => Древовидные сосуды (arborizing)
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[~EDGE_SORT] => 503
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[~IS_CHILDS] => 0
[SORT] => 503
[~SORT] => 503
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[CHAPTER_ID] => 856
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[~TYPE] => LE
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[~DEPTH_LEVEL] => 2
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[SELECTED] =>
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(
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[~LESSON_ID] => 861
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[~IS_CHILDS] => 0
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[~SORT] => 504
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[~DEPTH_LEVEL] => 2
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[SELECTED] =>
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[57] => Array
(
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[~LESSON_ID] => 862
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[~DEPTH_LEVEL] => 2
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(
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[~DEPTH_LEVEL] => 2
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[60] => Array
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[~LESSON_ID] => 865
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[~IS_CHILDS] => 0
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[~SORT] => 500
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[68] => Array
(
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[~LESSON_ID] => 975
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[~SORT] => 501
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(
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[~LESSON_ID] => 976
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[~SORT] => 500
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[70] => Array
(
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[~LESSON_ID] => 977
[NAME] => булыжная мостовая
[~NAME] => булыжная мостовая
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[~EDGE_SORT] => 501
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[~IS_CHILDS] => 0
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[~SORT] => 501
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[~TYPE] => LE
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[71] => Array
(
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[~LESSON_ID] => 978
[NAME] => Бесструктурный паттерн
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(
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[NAME] => - коричневый
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[~SORT] => 500
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[DETAIL_TEXT] => Уровень 6: Дерматоскопия
Представляет
Гусаров Михаил Вячеславович
Дерматовенерология, дерматоонкология, трихология, косметология
Категория: вторая
Консультирует взрослых и детей
Город: Санкт-Петербург
Стаж: 5 лет
Базовое образование:
Военно-медицинская академия им. С.М. Кирова, 2010
Дополнительное образование:
Ординатура по специальности «Дерматовенерология» в Санкт-Петербургском государственном педиатрическом медицинском университете , г. Санкт-Петербург (2010-2012).
Профессиональная переподготовка по специальности «Косметология» на базе Санкт-Петербургского государственного педиатрического медицинского университета (2014г.)
«Организация здравоохранения и общественное здоровье» на базе СЗГМУ им И.И.Мечникова. (2015г.)
Курсы европейской академии дерматологов и венерологов для специалистов: Ботулотоксин. (EADV Fostering training courses for Specialists: Botulinumtoxine). Госпиталь кожных и венерических болезней “Andreas Syggros”. Афины, Греция. (2015г.)
Курсы европейской академии дерматологов и венерологов для специалистов: Дерматоскопия. (EADV Fostering training courses for Specialists: Dermoscopy) Карлов университет. Прага, Чехия. (2015г.)
Школа дерматоонкологии под организацией европейской ассоциации дерматоонкологов (EADO). Берлин, Германия. (2016г.)
Повышение квалификации «Трихология». 2016г. Образовательный центр Наутилус, Санкт -Петербург.
Курс «Основы дерматоскопии». Общество дерматоскопии и оптической диагностики кожи. Москва. 2017г.
Курсы европейской академии дерматологов и венерологов для специалистов: Филлеры. (EADV Fostering training courses for Specialists: Fillers.) Королевское медицинское общество. Лондон. Великобритания. 2017г.
Основное место работы:
ООО "НПЦ ЛОГОДЕРМ", Кожно-венерологический диспансер №1 г. Санкт-Петербург
Должность:
врач-дерматовенеролог
Профессиональный опыт:
Занимается лечением и диагностикой всего спектра кожных и венерических болезней. Владеет современным методом диагностики новообразований кожи – дерматоскопией. Производит удаление новообразований кожи лазером, электрокоагулятором и методом радиоволновой хирургии. Применяет методы аппаратной косметологии (лазерное фракционное омоложение, радиочастотный лифтинг, лазерное лечение акне, розацеа, онихомикозов и др.). Специализируется в инъекционной косметологии (ботулотоксин, контурная пластика).
Шестой уровень рассчитан на 60 учебных часов и включает 15 занятий.
Он посвящён основам дерматоскопической диагностики новообразований кожи.
По его окончании Вы научитесь «читать» основные дерматоскопические структуры, познакомитесь с дерматоскопической диагностикой доброкачественных и злокачественных меланоцитарных и немеланоцитарных новообразований кожи, а также научитесь проводить их дифференциальную диагностику.
Каждое занятие включает: текстовое описание дерматоскопической структуры (определение), её гистологическую корреляцию, схематичное изображение структуры, а также дерматоскопические фотографии с комментариями, что существенно упрощает процесс усвоения информации.
По окончании каждого занятия доступен тест для самопроверки.
По окончании изучения материалов уровня Вам предлагается пройти итоговый тест на большом количестве дерматоскопических снимков.
[~DETAIL_TEXT] => Уровень 6: Дерматоскопия
Представляет
Гусаров Михаил Вячеславович
Дерматовенерология, дерматоонкология, трихология, косметология
Категория: вторая
Консультирует взрослых и детей
Город: Санкт-Петербург
Стаж: 5 лет
Базовое образование:
Военно-медицинская академия им. С.М. Кирова, 2010
Дополнительное образование:
Ординатура по специальности «Дерматовенерология» в Санкт-Петербургском государственном педиатрическом медицинском университете , г. Санкт-Петербург (2010-2012).
Профессиональная переподготовка по специальности «Косметология» на базе Санкт-Петербургского государственного педиатрического медицинского университета (2014г.)
«Организация здравоохранения и общественное здоровье» на базе СЗГМУ им И.И.Мечникова. (2015г.)
Курсы европейской академии дерматологов и венерологов для специалистов: Ботулотоксин. (EADV Fostering training courses for Specialists: Botulinumtoxine). Госпиталь кожных и венерических болезней “Andreas Syggros”. Афины, Греция. (2015г.)
Курсы европейской академии дерматологов и венерологов для специалистов: Дерматоскопия. (EADV Fostering training courses for Specialists: Dermoscopy) Карлов университет. Прага, Чехия. (2015г.)
Школа дерматоонкологии под организацией европейской ассоциации дерматоонкологов (EADO). Берлин, Германия. (2016г.)
Повышение квалификации «Трихология». 2016г. Образовательный центр Наутилус, Санкт -Петербург.
Курс «Основы дерматоскопии». Общество дерматоскопии и оптической диагностики кожи. Москва. 2017г.
Курсы европейской академии дерматологов и венерологов для специалистов: Филлеры. (EADV Fostering training courses for Specialists: Fillers.) Королевское медицинское общество. Лондон. Великобритания. 2017г.
Основное место работы:
ООО "НПЦ ЛОГОДЕРМ", Кожно-венерологический диспансер №1 г. Санкт-Петербург
Должность:
врач-дерматовенеролог
Профессиональный опыт:
Занимается лечением и диагностикой всего спектра кожных и венерических болезней. Владеет современным методом диагностики новообразований кожи – дерматоскопией. Производит удаление новообразований кожи лазером, электрокоагулятором и методом радиоволновой хирургии. Применяет методы аппаратной косметологии (лазерное фракционное омоложение, радиочастотный лифтинг, лазерное лечение акне, розацеа, онихомикозов и др.). Специализируется в инъекционной косметологии (ботулотоксин, контурная пластика).
Шестой уровень рассчитан на 60 учебных часов и включает 15 занятий.
Он посвящён основам дерматоскопической диагностики новообразований кожи.
По его окончании Вы научитесь «читать» основные дерматоскопические структуры, познакомитесь с дерматоскопической диагностикой доброкачественных и злокачественных меланоцитарных и немеланоцитарных новообразований кожи, а также научитесь проводить их дифференциальную диагностику.
Каждое занятие включает: текстовое описание дерматоскопической структуры (определение), её гистологическую корреляцию, схематичное изображение структуры, а также дерматоскопические фотографии с комментариями, что существенно упрощает процесс усвоения информации.
По окончании каждого занятия доступен тест для самопроверки.
По окончании изучения материалов уровня Вам предлагается пройти итоговый тест на большом количестве дерматоскопических снимков.
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-
1.Вводное занятие
-
2.Цвета в дерматоскопии
-
3.Пигментная сеть
-
4.Точки и глобулы, полосы.
-
5.Бесструктурные зоны
-
6.Участки регресса
-
7.Структуры, преимущественно встречаемые при себорейном кератозе и солнечном лентиго.
-
8.Структуры, преимущественно встречаемые при базально-клеточном раке коже
-
9.Структуры, преимущественно встречаемые при плоскоклеточном раке кожи, кератоакантоме и актиническом кератозе
-
10.Структуры, преимущественно встречаемые в злокачественном лентиго
-
11.Структуры, наблюдаемые при поляризованном свете
-
12.Сосуды
-
13.Глобальные признаки доброкачественных меланоцитарных образований
-
14.Глобальные признаки меланомы
-
15.Локальные признаки меланомы
-
16.Двухшаговый алгоритм
-
1.Тест: Цвета в дерматоскопии
-
2.Тест: Пигментная сеть
-
3.Тест: Точки и глобулы, полосы.
-
4.Тест: Бесструктурные зоны
-
5.Тест: Участки регресса
-
6.Тест: Структуры, преимущественно встречаемые при себорейном кератозе и солнечном лентиго.
-
7.Тест: Структуры, преимущественно встречаемые при базально-клеточном раке коже
-
8.Тест: Структуры, преимущественно встречаемые при плоскоклеточном раке кожи, кератоакантоме и актиническом кератозе
-
9.Тест: Структуры, преимущественно встречаемые в злокачественном лентиго
-
10.Тест: Структуры, наблюдаемые при поляризованном свете
-
11.Тест: Сосуды
-
12.Тест: Глобальные признаки доброкачественных меланоцитарных образований
-
13.Тест: Глобальные признаки меланомы
-
Итоговый тест
Уровень 7
Уровень 9
Уровень 10
Уровень 11
Уровень 12
Уровень 13
Вводное занятие.
Дерматоскоп - ручной микроскоп, оснащенный линзой увеличающей в десятикратном размере и источником света, представленным световыми диодами.
Позволяет оценить морфологию кожи до глубины поверхностной дермы.
Позволяет увидеть цвета и структуры, которые не видны невооруженному глазу.
Улучшает диагностическую точность обученных специалистов при диагностике пигментированных, непигментированных новообразований кожи, хронических дерматозов, а также инфекционных и паразитарных заболеваний кожи.
Осмотр кожи без дерматоскопа позволяет оценить морфологические признаки только рогового слоя и лишь минимально цвета и структуры более глубоких слоев эпидермиса и поверхностной дермы.
Осмотр кожи без дерматоскопа позволяет оценить только грубые морфологические признаки новообразований, такие как размер, форма, цвет, границы, и поверхностную топографию.
Оптические свойства света без использования дерматоскопии.
- Показатель преломления рогового слоя выше, чем воздуха поэтому большая часть падающего света отражается от поверхности кожи. Таким образом, роговой слой ухудшает проникновение света в более глубокие слои кожи, тем самым ухудшая визуализацию структур там расположенных.
- На участках кожи с толстым роговым слоем (ладони, подошвы) отмечается еще большее обратное рассеяние света и кожа выглядит более матовой (светонепроницаемой) , в то время как на анатомических областях с тонким роговым слоем (веки) кожа выглядит более просвечивающей.
Выделяют неполяризованную (НПД) и поляризованную дерматоскопию (ПД). Поляризованная дерматоскопия, в свою очередь может быть контактной (ПДК) и безконтактной (ПДБК).
Принципы неполяризованной дерматоскопии (НПД).
- Неполяризованные дерматоскопы имеют светоизлучающие диоды для иллюминации и оснащаются увеличительными линзами.
- Требуют прямого контакта дерматоскопа с кожей, что обязывает к дополнительной стерилизации инструмента.
- Требуют наличия иммерсионной жидкости с показателем преломления приближенном к таковому у кожи (спирт, УЗИ гель, масло), что делает процесс дерматоскопии несколько более трудоемким в сравнении с поляризованной дерматоскопией.
- Позволяет осмотреть структуры локализованные в области эпидермиса и дермо-эпидермального соединения.
- Плохо показывает структуры находящиеся глубже дермо-эпидермального соединения.
Принципы поляризованной дерматоскопии (ПД).
- Поляризованные дерматоскопы также имеют светоизлучающие диоды для иллюминации и увеличительную линзу.
- Используют два поляризационных фильтра для достижения кросс-поляризации.
- Бесконактные поляризованные дерматоскопы не требуют прямого контакта с кожей и не требуют применения иммерсии.
- Визуализирует структуры в области дермо-эпидермального соединения и поверхностной дермы.
- Плохо визуализирует или совсем не визуализирует структуры в эпидермисе (комедоно-подобные отверстия, миллиум-подобные кисты).
- Некоторые дерматоскопы позволяют пользователю переключать режимы НПД и ПД.
Оптические свойства света при ПД.
- Свет исходящий из диода проходит через поляризационный фильтр что делает свет поляризованным.
- Свет отражающийся на сетчатку глаза наблюдателя сначала проходит через кросс-поляризационный фильтр направление которого перпендикулярно источнику.
- Поляризованный свет не может пройти через кросс-поляризационный фильтр если свет не поменял направление на 90°, это происходит если поляризованный свет подвергается достаточному рассеянию в коже, что меняет его направление (рандомизация поляризации). Поверхностный свет сохраняет оригинальную поляризацию и не может пройти через кросс-поляризационный фильтр. Таким образом ПД слеп к поверхностным структурам.
- Свет дошедший до дермо-эпидермального соединения и поверхностной дермы, подвергается множественному рассеянию что проявляется в рандомизации и поляризации. Таким образом отражающийся глубоко проникший свет способен пройти через кросс-поляризационный фильтр и попасть на сетчатку наблюдателя позволяя оценить соответствующие структуры.
Сравнение ПД и НПД.
- НПД лучше подходит для осмотра структур в поверхностных слоях кожи (эпидермис и дермо-эпидермальноге соединение). ПД для оценки глубоких слоев (дермо-эпидермальноге соединение и поверхностная дерма).
- Миллиум-подобные кисты, комедоно-подобные отверстия и бело-голубая вуаль лучше наблюдаются в НПД из-за их локализации в эпидермисе.
- Хризалиды (блестящие белые линии, shiny white lines) видны в ПД, так как эти структуры ассоциированы с увеличением количества коллагена поверхностной дерме.
- Так как ПД не требует прямого контакта с кожей, сосуды и розовый цвет (сосудистая эритема) лучше визуализируются в ПД, из-за отсутствия давления дерматоскопа на поверхность новообразования. Кроме того сосуды локализуются в дерме, которая лучше наблюдается в ПД.
- При пигметированных новообразованиях с меланином в области ДЭС или поверхностной дермы ПД показывает более темные оттенки коричневого или синего и иногда более вариабелен в визуализации пигментации в сравнении с НПД.
- Разница между НПД и ПД может влиять на точность диагноза. ПД может повысить чувствительность при диагностике беспигментных меланом или меланом с невыраженными структурами, а также базалиомы, так как при ПД лучше заметны сосуды, сосудистая эритема и хризалиды. НПД может повышать чувствительность при диагностике себорейного кератоза за счет визуализации миллиум-подобных кист и комедоно-подобных отверстий.
| НПД | ПДК | ПДБК | |
| Меланин | + | ++ | ++ |
| Красный или розовый цвет | + | ++ | ++++ |
| Бело-голубой | +++ | ++ | + |
| Структуры регресса (peppering) | +++ | ++ | + |
| Белые полосы (shiny-white streaks) | +/- | +++ | ++ |
| Сосуды | + | ++ | ++++ |
| Миллиум-подобные кисты | ++++ | +/- | +/- |
| Комедоноподобные отверстия | ++++ | +/- | +/- |
| Бесструктурный паттерн в голубом невусе | Почти гомогенный голубой цвет | Гетерогенный цвет с различными оттенками голубого | Гетерогенный цвет с различными оттенками голубого |
Polarized and Nonpolarized Dermoscopy.The Explanation for the Observed Differences. Yan Pan, Daniel S. Gareau, Alon Scope, et al. Arch Dermatol. 2008 Jun; 144(6):828-9.
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ИНН 7802852997
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